<div class="contentPages">
    <div id="form-header" class=" size92 form-gray-stripe ">
        <h1>Pagamento</h1>
        <img src="general/images/pagamento.png" width="60" height="60" alt="Pagamento"/>
    </div>
    <form name="pagamento" id="pagamento" class="formStyle size92 form-gray" action="#" method="post">
        <div class="field_inline">
            <fieldset class="fieldset-none">


                <label class="medium"><span class="full">Aluno  </span>
                    <select type="text" name="nome" value="{NOME}" class="size100" ><select/>
                </label>


                <div class="block">
                    <ul class="form-list-radio size60">
                        <li><input name="radio" type="radio" />
                            <em class="form-rdo"> Nome</em></li>
                        <li><input name="radio" type="radio" />
                            <em class="form-rdo"> Matrícula</em></li>
                    </ul>
                </div>

                <div class="boxButtons">
                    <input type="submit" class="form-buttom-gray mright-small" value="Pesquisar" />
                 </div>
                
             </fieldset>

            <fieldset class="fieldset-none">
                 <label class="size30"><span class="full">Plano <em class="form-req"></em> </span>
                        <select id="plano" name="plano" class="size80">
                            <option value="Mensal">Mensal</option>
                            <option value="Trimestral">Trimestral</option>
                            <option value="Semestral">Semestral</option>
                        </select>
                 </label>

                <label class="size30"><span class="full">  Valor </span>
                    <input type="text" name="valor" value="R$00,00" class="size80" placeholder="R$00,00" />
                </label>

                <label class="size30"><span class="full">Forma <em class="form-req"></em> </span>
                        <select id="plano" name="forma" class="size80">
                            <option value="Dinheiro">Dinheiro</option>
                            <option value="Cheque">Cheque</option>
                            <option value="Cartao">Cartao</option>
                        </select>
                 </label>
                
                
                
            </fieldset>

            <div class="boxButtons mright-small">
            <input type="button" name="Cancelar" class="form-buttom-gray " value="Cancelar" />
            <input type="submit" name="Salvar" class="form-buttom-green " value="Salvar" />
            </div><!--- boxButtons --->

        </div>

    </form>
</div>